Doctors Add MBAs to Their MDs as Health-Care Burnout Spreads

From Bloomberg:

Some medical students, observing these changes and hearing from older doctors about the frustrating burdens of bureaucracy, have been lured into business schools. Students also desire to have a wider impact, according to Maria Chandler, a doctor who spearheaded an MD/MBA program at the University of California at Irvine two decades ago.

The number of students earning these dual degrees has doubled in the past decade, according to the Association of American Medical Colleges. The shift is also part of a wider evolution at business schools. Traditional MBA programs are hunting for students as many potential applicants — not just in medicine –- increasingly pursue more specialized courses that focus on specific industries.

How to Manage Malpractice Risk in Your Emergency Department

From HealthLeaders Media:

A Coverys report published today on malpractice claims in EDs is based on an analysis of more than 1,300 medical liability claims from 2014 to 2018. The report features several key data points:

  • EDs accounted for about 13% of all medical liability claims. Surgery was the top target for medical liability claims, accounting for about 26% of claims.
  • Failure or delay in making a diagnosis accounted for 56% of ED claims.
  • Cardiac and vascular illnesses were the most common conditions identified on ED claims, accounting for 23% of the total, followed by infections (18%) and neurological conditions (8%).
  • More than one-third of ED claims involved the death of a patient.
  • The top risk management issues in EDs were clinical judgment (44%), clinical systems (10%), and documentation including electronic health records (10%).

Teleflex recalls endotracheal tubes worldwide after reports of 4 deaths

From Reuters:

Teleflex Inc said on Monday it plans to recall some lots of its Hudson RCI Sheridan endotracheal tubes used for helping patients breathe, following reports of four deaths.

The worldwide recall comes after the products were found to have an increased occurrence of being disconnected from the breathing circuit, resulting in insufficient oxygen supply, the company said.

Kentucky Health News: Rural hospitals continue to be at risk of closing; federal policy complicates pay

From the Northern Kentucky Tribune:

Rural hospital closures are a growing trend, and federal policies don’t support a model that would include a scaled-back version of services. But that’s what many rural hospitals need to do in order to ensure their future, Mary Meehan reports for Ohio Valley ReSource, a public-radio partnership that covers Kentucky, Ohio and West Virginia, especially their Appalachian areas.

“The reality is that many rural communities can’t really support a full-fledged hospital. They may need primary care and perhaps emergency department services, let’s say a primary care clinic attached to an emergency department,” Ty Borders, director of the Rural and Underserved Health Research Center at the University of Kentucky, told Meehan.

But federal policy complicates that simplified model for care, Borders said: “Medicare won’t pay for that. Medicare will only pay for hospital or emergency department services that are in a hospital. And in most rural communities, that’s a critical-access hospital,” which limits its beds, services and patient stays in return for slightly larger federal reimbursements.

“Which are the hospitals that are closing,” Meehan reports as she details the struggles and closures of several rural hospitals, starting with the Owen County Hospital in Owenton, which closed in 2016.

Infographic: Social Determinants of Health

More on the topic from the CDC

Infographic credit.Health-Care-Partnerships-1-768x745

Training to Spot Human Trafficking Urged for Pharmacists, ED Workers

From Pharmacy Times:

There is a significant need for human trafficking (HT) training within pharmacy school curriculum and emergency departments (ED), according to researcher Macy England, 2020 PharmD Candidate, Belmont University College of Pharmacy.

England presented her research during a poster session at the American Society of Health-System Pharmacists (ASHP) Summer Meeting in Boston. According to her presentation, “Impact and Necessity of Human Trafficking Training in the ED and Pharmacy School Curriculum,” there were over 10,600 HT victims in the year 2017 who were reported to the National Hotline and BeFree Textline.

During captivity, HT victims are exposed to a variety of physical ailments and conditions, and over 88% of victims seek medical attention at some point in their captivity, two-thirds being in an emergency department, according to England.

“I believe that ED workers and pharmacists have the highest chance of encountering these victims,” said England in an interview with Pharmacy Times. “Yet, health care workers across the board are not educated on how to recognize the crime. And, because they’re not recognizing it, they’re not reporting it.”

The Rules of Verbal Jiu-Jitsu With Patients

From MedPage Today:

Verbal Jiu-Jitsu is what I call the technique of deflecting and defusing such manipulative confrontations. The first and most important rule of Verbal Jiu-Jitsu is to remember that this is not a war or a contest! There should be no “battle of wills” between you and your patient. There is no winner or loser. Instead, you and your patient are having a conversation. The whole goal of Verbal Jiu-Jitsu is to avoid any kind of verbal battle.